Individual
KENNETH WAYNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 E ARTESIA ST, 140, POMONA, CA 91767-2900
(909) 622-3800
(909) 622-2600
Mailing address
160 E ARTESIA ST, 140, POMONA, CA 91767-2900
(909) 622-3800
(909) 622-2600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A79488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A694880
—
CA
Enumeration date
11/27/2006
Last updated
11/15/2011
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